Successful delayed aortic surgery for a patient with ischemic stroke secondary to aortic dissection

Ryuta Morihara, Toru Yamashita, Kentaro Deguchi, Keiichiro Tsunoda, Yasuhiro Manabe, Yoshiaki Takahashi, Taijun Yunoki, Kota Sato, Yumiko Nakano, Syoichiro Kono, Yasuyuki Ohta, Nozomi Hishikawa, Koji Abe

Research output: Contribution to journalArticlepeer-review

Abstract

The diagnosis of aortic dissection (AD) is sometimes difficult within the limited time window of recombinant tissue plasminogen activator (tPA) for ischemic stroke (IS). A 60-year-old man developed sudden left hemiparesis due to IS. During tPA infusion, his blood pressure dropped and consciousness declined. After transfer to our hospital, carotid duplex ultrasonography led to a diagnosis of AD. Emergency surgery was postponed because of the risk of hemorrhagic transformation. The patient successfully underwent aortic surgery on day 5 and was discharged with a remarkable improvement in his symptoms. Delayed surgery may avoid hemorrhagic transformation in patients with AD-induced IS who have received tPA.

Original languageEnglish
Pages (from-to)2343-2346
Number of pages4
JournalInternal Medicine
Volume56
Issue number17
DOIs
Publication statusPublished - 2017

Keywords

  • Aortic dissection
  • Hemorrhagic transformation
  • Ischemic stroke
  • Recombinant tissue plasminogen activator

ASJC Scopus subject areas

  • Internal Medicine

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